✓ Licensed & Credentialed Pharmacist (183500000X) ✓ HHS OIG Screened Clear 🏢 Entity Type 2 (Organization)

APPALACHIAN APOTHECARY INC (NPI #1972982049)

Pharmacist • CANTON, NC • Status: Active Federal Registration

⚙️ JSON API
CMS-1500 Box 24J / 33a • NPI
1972982049
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
183500000X
Licensed & Credentialed Pharmacist
Box 32 Service Location & ZIP+4
123 PARK ST, CANTON, NC, 28716-4319
✓ 9-Digit EDI 837 ZIP+4 (28716-4319)
Practice Phone & Referral Fax
Direct NPPES Verification Line
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1972982049 (APPALACHIAN APOTHECARY INC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number1972982049 (NPI-2 Organization / Facility)
Provider / Legal NameAPPALACHIAN APOTHECARY INC
Plain-English SpecialtyLicensed & Credentialed Pharmacist
NUCC Code: 183500000X (Pharmacist)
Certifying / Licensing BodyState Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address123 PARK ST, CANTON, NC, 28716-4319
Practice Telephone / FaxTel: (828) 646-6867
Administrative Mailing Address123 PARK ST, CANTON, NC, 28716-4319
Enumeration & Last SyncEnumerated: 2015-05-22 | CMS Record Updated: 2015-05-22
Authorized OfficialKIMBERLY FERGUSON (Pharmacist)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

123 PARK ST, CANTON, NC, 28716-4319

🗺️ Open in Google Maps 🏥 More Providers in CANTON

Plain-English Taxonomy & CMS Crosswalk (183500000X)

What Does Taxonomy Code 183500000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 183500000X translates to:
"Licensed & Credentialed Pharmacist"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Pharmacist for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (APPALACHIAN APOTHECARY INC)

Typical CPT / Diagnostic Procedures:
  • Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
  • Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
  • Preventive Screening, Patient Counseling & Multidisciplinary Referral
Common Therapeutic Classes:
  • Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English DescriptionState License & Primary Status
183500000X — Pharmacist
Plain English: Licensed & Credentialed Pharmacist
State: NC | License: 12601 | Primary: Yes (Primary)
Medical Billing, RCM & Hospital Credentialing Teams:
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